From December's "Global Health Promotion" -- unfortunately only the abstract is freely available online:

http://ped.sagepub.com/cgi/content/abstract/16/4/54?rss=1

Choosing health, constrained choices
Chee Khoon Chan

Women's Development Research Centre (KANITA). Correspondence to: Health and Social Policy Research Cluster, Women's Development Research Centre (KANITA), Universiti Sains Malaysia, 11800 Penang, Malaysia, [log in to unmask]

In parallel with the neo-liberal retrenchment of the welfarist state, an increasing emphasis on the responsibility of individuals in managing their own affairs and their well-being has been evident. In the health arena for instance, this was a major theme permeating the UK government's White Paper Choosing Health: Making Healthy Choices Easier (2004), which appealed to an ethos of autonomy and self-actualization through activity and consumption which merited esteem. As a counterpoint to this growing trend of informed responsibilization, constrained choices (constrained agency) provides a useful framework for a judicious balance and sense of proportion between an individual behavioural focus and a focus on societal, systemic, and structural determinants of health and well-being. Constrained choices is also a conceptual bridge between responsibilization and population health which could be further developed within an integrative biosocial perspective one might refer to as the social ecology of health and disease. (Global Health Promotion, 2009; 16 (4): pp. 54-57)



Robyn Kalda
Health Promotion Information Specialist
Health Nexus 
[log in to unmask] 

Formerly Ontario Prevention Clearinghouse/Anciennement Le Centre Ontarien d'information en prévention ***Our old opc.on.ca email addresses no longer work*** 

To leave, manage or join list: https://listserv.yorku.ca/cgi-bin/wa?SUBED1=sdoh&A=1